Regional Coding Specialist

Affiliated Podiatrists; Raleigh, Northern (NC, KY); Hybrid; USD 52,000 - 74,000; Full time

Benefits offered by this job

Health Insurance (Single & Family)

Life Insurance

Disability Insurance

401(k) plan with Company Match

Employee Discount Program

Paid Time Off

Paid Holidays

Job summary

Affiliated Podiatrists in Raleigh, NC is seeking a Regional Coding Specialist to carefully review charge tickets, patient charts, and supporting documentation to ensure codes are accurate, complete, and properly sequenced according to government regulations and payer requirements.

You will assign missing CPT, HCPCS, ICD-10-CM codes, follow up with physicians on unclear documentation, and maintain coding records while meeting daily production and quality standards.

Qualifications

• Must have strong medical coding knowledge and accuracy.
• Experience with CPT/HCPCS/ICD-10-CM coding.
• Ability to communicate with physicians on documentation.
• Proficient with EMR systems and Microsoft Office.

Responsibilities

• Receive and review charge tickets, charts, and docs for accuracy.
• Assign missing CPT, HCPCS, ICD-10-CM, and modifiers.
• Ensure codes are current and properly sequenced per regulations.
• Identify and report missing or unclear documentation.
• Follow up with physicians on unclear documentation.
• Communicate coding requirements to clinical staff.
• Research and resolve complex coding cases.
• Meet daily coding production and quality standards.
• Maintain coding-related records and lists.

Skills

Medical Coding Certificate

Medical coding experience (2+ years)

EMR software proficiency

Attention to detail

Independence & team work

Time management & multitasking

Medical terminology knowledge

Computers & software (Windows, Google,

Education

Medical Coding Certificate

CPC by AAPC (Preferred)

CBCS by NHA (Preferred)

QMPC by QPro (Preferred)

Tools

Windows OS

Google Docs

Microsoft Word

Microsoft Excel

EMR software

Job description

The Regional Coding Specialist is responsible for carefully reviewing charge tickets, patient charts, and supporting documentation to ensure codes are accurate, complete, and sequenced correctly in accordance with government regulations, insurance requirements, and applicable coding guidelines.

Required Education, Skills and Experience:

• Medical Coding Certificate preferred
• Minimum of two years of medical coding experience
• Strong computer skills, including data entry, coding, and experience with Electronic Medical Record (EMR) software
• Accurate and precise attention to detail
• Goal-oriented, organized team player with the ability to work independently
• Ability to multitask, prioritize, and manage time efficiently
• Understanding of medical terminology, anatomy, and physiology
• Proficient knowledge of computers and software, including:
  • Microsoft Windows OS
  • Google Docs
  • Microsoft Word
  • Microsoft Excel

Preferred Education, Skills and Experience:

• Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC)
• Certified Billing and Coding Specialist (CBCS) by the National Healthcareer Association (NHA)
• Qualified Medical Podiatry Coder (QMPC) by QPro

Essential Functions/Responsibilities (other duties may be assigned):

• Receive and review charge tickets, patient charts, and supporting documentation for accuracy and completeness
• Review and assign missing CPT, HCPCS, ICD-10-CM, and modifier codes to claims
• Ensure codes are accurate, current, active, and sequenced correctly in accordance with government regulations, insurance requirements, and applicable coding guidelines
• Identify and report missing, incomplete, insufficient, or unclear documentation
• Follow up with physicians regarding documentation that is insufficient or unclear
• Communicate with physicians and other clinical staff regarding documentation and coding requirements
• Research and resolve complex or unusual coding cases
• Serve as a resource for coding questions and insurance-related resolutions
• Meet established daily coding production and quality standards
• Update and maintain document lists and other coding-related records
• Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations, health plan reimbursement requirements, and coverage policies
• Identify recurring system errors, workflow issues, and training gaps and assist with root cause analysis and resolution
• Perform additional duties as assigned by the supervisor

Benefits Offered:

• Health Insurance (Single & Family plans available)
• Life Insurance
• Disability Insurance
• 401(k) plan with Company Match
• Employee Discount Program
• Paid Time Off
• Paid Holidays

Qualifications

Behaviors

Required

Team Player

: Works well as a member of a group

Preferred

Detail Oriented

: Capable of carrying out a given task with all details necessary to get the task done well

Motivations

Required

Growth Opportunities

: Inspired to perform well by the chance to take on more responsibility

Flexibility

: Inspired to perform well when granted the ability to set your own schedule and goals

Self-Starter

: Inspired to perform without outside help

Licenses & Certifications

Required

Medical Coding

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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